Structure of the Rotations


Current Rotations

Core Anaesthesia and ACCS

Year One / Novice Year – ACCS CT2 (or Core CT1)

The Deanery will ask for your preferences before the start of the post and will appoint you to a single hospital for the duration of the first year. For ACCS this is often the same hospital as your year in EM and AM, but this is not guaranteed.  This placement is made by the deanery/ACCS TPD and not the Core TPD.  There is only one core CT1 post, based in Walsall Manor Hospital.

Year 2 (ACCS CT3/Core CT2) and Year 3 (ACCS CT4/Core CT3)

The School will ask you for your preferences approximately half way through your current year in relation to the following August. You will asked to rank all hospitals in the school in order of preference.  Once all the preferences are received, the TPD will appoint you to a single hospital for your next year of training. The exception is SATH where you will spend 6 months in Shrewsbury and 6 months in Telford. The decision is based on a number of factors including, your training needs, the modules available at each hospital, your preferences and the logistics of arranging the posts. Although preferences are accommodated where possible, this can not always be achieved.

General principles of placement allocation are:

  • You may be allocated to any hospital in the school: preferences will be accommodated where possible but cannot be assumed, regardless of where you live.
  • We will aim to place you for at least one year in ONE of our two largest hospitals, either New Cross Hospital or UHNM.  This is advisable but not mandatory to achieve the curriculum and cannot always be guaranteed.
  • You are very unlikely to be placed at both New Cross AND UHNM over the three year programme.
  • It is not advisable to remain at the same trust for the entire 3 year programme from an experiential perspective, even if your personal circumstances make it difficult to rotate – if you wish to request this please discuss with the Core TPD directly.
  • NOT ALL DOCTORS WILL ROTATE THROUGH UHNM – there are insufficient training posts in Stoke to accommodate this.

Placements for extensions to training

If you require a remedial time extension to complete your Basic Level Training then your placement will be at the discretion of the TPD and will be accommodated in a vacant CT2 slot after the CT2 allocations have been completed.

Specialist Training

Where possible, posts will be for the duration of 1 year.

  • Intermediate Level Training

1 year will be spent in the Royal Stoke and 1 year will be spent in one of the DGH’s

  • Higher and Advanced Level Training

The basic plan starts with the assumption of 1 year at ST5 or ST6 spent in a DGH and the other 2 years spent in the Royal Stoke. There are many opportunities to deviate from this plan:

  • Birmingham Children’s Hospital. 3-6 months
  • Birmingham Women’s hospital. 3-6 months
  • Regional Fellowship. 6 months at either Wolverhampton or Burton
  • OOPT. 6-12 months
  • Requests to finish training at a hospital where you are seeking a job

The ST placements are updated every 3 months and are subject to change. It is a complex task placing 60-70 trainees in the available posts in order that every-ones training needs are met. The placements are published approximately 3-4 months in advance.

Extensions to Training Time

Period of Grace

Timing of the FRCA Final exam